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1053052076
MICAH M SHIMABUKU
RENTON, WA
NPI
1053052076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61220141)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
MICAH M SHIMABUKU PT
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-690-3650
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Mailing Address
MICAH M SHIMABUKU PT
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-690-3650
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